Professional Sportscare & Rehab, LLC
NPI 1861941395 · Physical Therapist · Fairfax, VA
Professional Sportscare & Rehab, LLC is a Physical Therapist organization in Fairfax, VA (NPI 1861941395).
Provider details
- NPI number
- 1861941395
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tasheda Broughton, Manager, Credentialing(252) 248-3313
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pivot Physical Therapy
Registry dates
- Enumerated
- 2016-09-26
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Professional Sportscare & Rehab, LLC's NPI number?
- Professional Sportscare & Rehab, LLC's National Provider Identifier (NPI) is 1861941395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Sportscare & Rehab, LLC?
- Professional Sportscare & Rehab, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Professional Sportscare & Rehab, LLC located?
- Professional Sportscare & Rehab, LLC's practice location on file with NPPES is 10940 Fairfax Blvd, Fairfax, VA 22030-4301.
- What is Professional Sportscare & Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Sportscare & Rehab, LLC is (571) 321-5430.
- Who is the authorized official for Professional Sportscare & Rehab, LLC?
- The authorized official listed on Professional Sportscare & Rehab, LLC's NPPES record is Tasheda Broughton, Manager, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Sportscare & Rehab, LLC's NPI active?
- Yes — Professional Sportscare & Rehab, LLC's NPI (1861941395) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.